Changes Behavioral Health, Llc

NPI 1114260486 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1114260486
Enumeration Date 04/04/2013
Last Updated 01/06/2015
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name BRIAN DICKSON BRIAN
Position THERAPIST
Phone (870) 208-8499
Fax
Practice Location
204 MISSISSIPPI ST S
WYNNE AR, 72396-3025, US
Phone (870) 208-8499
Fax
Business Location
204 MISSISSIPPI ST S
WYNNE AR, 72396-3025, US
Phone (870) 208-8499
Fax
Toxanomy
Taxonomy Code 251S00000X
License State Arkansas
License Number 5606C
Remove 1114260486 NPI Number
 

According to our database, Changes Behavioral Health, Llc NPI is 1114260486, taxonomy code is 251S00000X and license number is 5606C, license state is located at Arkansas. Changes Behavioral Health, Llc physically located at 204 Mississippi St S, Wynne AR, 72396-3025. NPI Number 1033115704 has the healthcare provider type.

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1114260486 NPI number is provided on an as is basis without warranty of any kind. 1114260486 is maintained by the National Plan & Provider Enumeration System. The contents of Changes Behavioral Health, Llc are for informational purposes only.